Individual
TEMALESI CAGINIVALU DAVETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
933 EDWARDS AVE APT 2, SANTA ROSA, CA 95401-4239
(707) 239-2400
Mailing address
933 EDWARDS AVE APT 2, SANTA ROSA, CA 95401-4239
(707) 239-2400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7511054388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1727157
DRIVERS LICENCE
CA
Enumeration date
01/09/2025
Last updated
01/09/2025
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